Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 041854 | PA |
N | 213EG0000X | General Practice | 041854 | PA |
Y | 1223G0001X | General Practice | 61538 | KS |
Y | 213EG0000X | General Practice | 61538 | KS |
NPI | 1003393810 |
---|---|
Provider Name | Dr. Stephanie Lynn Zeiler |
First Address | Fort Riley, KS 66442-4030 |
Second Address | Fort Campbell, KY 42223-5582 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2018 |
Last Update Date | 12/05/2021 |